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상악에 발생한 무색소성 악성 흑색종: 증례보고 및 문헌 고찰 KCI 등재

Amelanotic Malignant Melanoma in the Maxilla: A Case Report and Literature Review

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대한구강악안면병리학회지 (The Korean Journal of Oral and Maxillofacial Pathology)
대한구강악안면병리학회 (Korean Academy Of Oral And Maxillofacial Pathology)
초록

Malignant melanoma is a highly malignant tumor derived from melanocyte. Malignant melanoma of the oral cavity occurs mainly in the palatine mucosa and the maxillary gingiva in men in their 50s. Malignant melanoma can be divided into pigmented and non-pigmented(amelanotic). Among them, non-pigmented malignant melanoma accounts for 2-8% of all malignant melanomas. Pigmented malignant melanoma is detected through changes in pigmentation, whereas non-pigmented malignant melanoma is characterized by no pattern of color change. In this study, at the initial visit, a malignant lesion was suspected and a biopsy was performed. According to the biopsy results, it was diagnosed as polymorphic sarcoma, but the histological examination performed during the operation revealed that it was amelanotic melanoma. As such, the differential diagnosis is important because there is no clinical change in non-pigmented malignant melanoma. Diseases to be differentially diagnosed when non-pigmented malignant melanoma occurs in the oral cavity include squamous cell carcinoma, lymphoma, sarcoma, inflammation, and osteomyelitis. In this study, we report a case that showed the histopathological characteristics of malignant melanoma without superficial pigmentation.

목차
Abstract
Ⅰ. INTRODUCTION
Ⅱ. CASE REPORT
Ⅲ. DISCUSSION
ACKNOWLEDGMENTS
REFERENCES
저자
  • 이정민(부산대학교 치의학전문대학원 구강악안면외과학 교실) | Jung-Min Lee (Department of Oral and Maxillofacial Surgery, School of Dentistry, Pusan National University, Yangsan 50612, Korea)
  • 이천서(부산대학교 치의학전문대학원 구강악안면외과학 교실) | Cheon-Seo Lee (Department of Oral and Maxillofacial Surgery, School of Dentistry, Pusan National University, Yangsan 50612, Korea)
  • 박혜련(부산대학교 치의학전문대학원 구강병리학 교실, 치의생명과학연구소) | Hae-Hyoun Park (Department of Oral Pathology, School of Dentistry, Pusan National University,Dental and Life Science Institute, School of Dentistry, Pusan National University)
  • 송재민(부산대학교 치의학전문대학원 구강악안면외과학 교실,치의생명과학연구소,부산대학교병원 의생명연구원) | Jae-Min Song (Department of Oral and Maxillofacial Surgery, School of Dentistry, Pusan National University,Dental and Life Science Institute, School of Dentistry, Pusan National University,Biomedical Research Institute, Pusan National University Hospital) Corresponding author